摘要
目的观察低浓度罗比卡因腰麻联合硬膜外麻醉用于分娩镇痛的临床效果。方法对100例进入分娩活跃期初产妇随机分为两组,A组50例实施腰麻联合硬膜外镇痛,B组50例实施连续硬膜外镇痛。观察两组血压、脉搏、氧饱和度、镇痛起效时间、视觉模拟评分、下肢运动、产程等并进行比较。结果两组产妇镇痛后VAS评分、宫缩强度、胎心率及下肢运动阻滞评分无显著性差异(P>0.05);腰麻联合硬膜外镇痛组镇痛起效时间显著缩短(P<0.05)。两组产妇活跃期、第二产程、第三产程时间及胎儿出生后Apgar评分无显著性差异(P>0.05),A组罗哌卡因总用量明显少于B组(P<0.05)。两组分娩方式比较无显著性差异(P>0.05)。结论腰麻联合硬膜外阻滞用于分娩镇痛起效快,镇痛完全,同时能减少罗比卡因用药总量,产妇满意度增高,从而提高了分娩镇痛水平,值得临床推广。
Objective To observe clinical effect of low concentration ropivacaine for combined spinal epidural analgesia during labor.Methods 100 patients with primipara in active phase were randomly divided into combined spinal epidural analgesia group（group A,n=50） and epidural anesthesia group（group B,n=50）.Paramaters including blood pressure,pulse,oxygen partial pressure,analgesic onset time,VAS score,motor status,progressof labor etc were observed and compared.Results There was no significant difference between the two groups regarding to the motor function,VAS score and uterine contraction strength,neonatal Apgar score and the progress of labor.The analgesic onset time of the combined spinal epidural analgesia group was significantly shorter than that of epidural anesthesia group.Total ropivacaine usage of group A was significantly smaller than that of group B.Conclusion Combined spinal epidural analgesia is more effective and rapid than epidural anesthesia.It decreases total ropivacaine usage during labor.
出处
《西部医学》
2011年第5期870-871,共2页
Medical Journal of West China
关键词
CSEA
分娩
麻醉
产科
镇痛
Combined spinal and epidural anesthesia
Labor
Analgesia
Obstetrics
